Older persons’ perspectives on satisfaction with a mental health service and its impact on their recovery

Ojala, Sonya; Wheeler, Amanda

doi:10.36251/josi.56

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…First, perceived effectiveness of mental health treatment is an important predictor of adherence to and future use of mental health services among patients and people in their social networks (Croghan et al 2003;Edlund et al 2002;Lippens and Mackenzie 2011). Second, the belief that treatment is effective is associated with greater likelihood of recovery from mental illness (Ojala and Wheeler 2012). Third, it is an indicator of satisfaction with services and may be associated with poor quality (Druss, Rosenheck, and Stolar 1999).…”

Section: The Relevance Of Perceived Treatment Effectivenessmentioning

confidence: 99%

Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment

Alang

McAlpine

2018

Society and Mental Health

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The gap between need and effective treatment for mental health problems continues to be a challenge for researchers and policymakers. Much of the attention has been on differences in treatment rates, with insufficient attention to variation in pathways that people take into treatment. Individuals may choose to seek help but may also be substantially influenced by others or coerced into care. The chances of each type of pathway are influenced by social characteristics and may shape perceptions of effectiveness of care. This paper investigates variation in pathways into care and perceived effectiveness of care. We also examine whether choice or coercion into care are associated with whether individuals perceive care as effective and if severity of illness moderates this relationship. We use data from the 2010–2014 National Survey on Drug Use and Health (N = 10,020). Persons who independently sought mental health care were more likely to rate treatment as effective compared to persons ordered into care. Among people with severe mental illnesses, the probability of rating treatment as effective is lowest among those who were ordered into care. Entry into mental health care is not sufficient for closing the treatment gap if coerced care leads to poorer quality outcomes.

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Section: The Relevance Of Perceived Treatment Effectivenessmentioning

confidence: 99%

Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment

Alang

McAlpine

2018

Society and Mental Health

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“…There are only a limited number of studies which identify participation restrictions, which consists of 3 items related to physical health illness or disability in Activities of Daily Living (ADLs), a barrier to accessing psychological services. 23 However, findings from our study indicate that in rural settings, where there is a paucity of available transportation for disabled people, people with limited ability to carry out ADLs tend to face difficulties in going out and seeking help.…”

Section: Discussionmentioning

confidence: 62%

Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019

Van

Huyen

Hue

et al. 2021

Health�Serv�Insights

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While the burden of neurological and mental disorders has been drastically increased in Vietnam, the current mental healthcare services do not meet the public demand. In order to determine perceived barriers to the use of mental health services, we conducted a cross-sectional study on 376 elderly people from a rural district in Hanoi, Vietnam. We found that depression may be an important indicator of the need for formal and informal community and home care mental health services. Barriers to mental healthcare access were categorized into 7 groups namely stigma, emotional concerns, participation restrictions, service satisfaction, time constraints, geographic and financial conditions, and availability of services. The most significant barriers are the limited availability of and accessibility to health professionals and services in rural areas. Our study highlights the urgent efforts that need to be made in order to enhance availability of mental healthcare services in rural areas of Vietnam.

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“…Perceived helpfulness captures aspects of treatment effects and acceptability that are unique from more "objective" outcomes. Studies in the general population have shown that when patients perceive depression treatment to be helpful, they are more likely to follow through with the treatment (adherence) (Lippens & Mackenzie, 2011), to be satisfied with the treatment (Alang & McAlpine, 2020), to benefit from the treatment or recover (Ojala & Wheeler, 2012), and to seek and utilize future treatments when in need (Colman et al, 2014;Edlund et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Perceived helpfulness of depression treatments among young adults with autism

et al. 2021

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Currently available treatments for depression show limited effectiveness in adults with autism spectrum disorders (ASD) based on measures of symptom changes and clinician impressions. Perceived helpfulness is another metric that has been found to be useful for understanding treatment outcomes in the general population, but it has not yet been explored in adults with ASD. Thus, the current study collected online survey data to examine patient-perceived treatment helpfulness in a sample of 144 adults with ASD who reported that they were currently receiving communitybased treatment for depression. Findings indicate that while there was variability in the levels of perceived helpfulness for both medication and individual therapy, most adults with ASD perceived treatment to be at least moderately helpful. Notably, adults with ASD reported having been in treatment for a prolonged duration (5 to 6 years). Ordinal logistic regression models showed that adults with more depressive symptoms perceived treatments to be less helpful (i.e., medications: odds ratio [OR] = 0.92, 95% confidence interval[CI] = 0.89-0.95; individual therapy: OR = 0.95, 95% CI = 0.92-0.99). Moreover, women perceived medication as more helpful than men (OR = 2.33, 95% CI = 1.13-4.82). Other individual (i.e., age, race, education level) and treatment (i.e., treatment length, concurrent treatment) characteristics were not significantly associated with perceived helpfulness. These findings suggest that future studies may want to use perceived helpfulness, in addition to traditionally used objective outcomes, to understand patients' treatment experience and evaluate depression treatments for adults with ASD. Lay summary: Adults with autism are much more likely to be depressed than those without autism; therefore, effective depression treatments are necessary to improve mental health outcomes in this group. This online survey study found that most adults with autism felt that the depression treatments they were receiving in the community (i.e., medication and individual therapy) were helpful. Females and those with fewer symptoms of depression felt treatments were more helpful compared with males and those with more symptoms of depression. Our findings suggest that when examining whether treatments for depression are effective, it may be important to measure adults' feelings about the helpfulness of the treatments in addition to measuring changes in symptoms of depression.

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Older persons’ perspectives on satisfaction with a mental health service and its impact on their recovery

Cited by 3 publications

References 22 publications

Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment

Pathways to Mental Health Services and Perceptions about the Effectiveness of Treatment

Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019

Perceived helpfulness of depression treatments among young adults with autism

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